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Accountable Care Organization

CHI Franciscan Health has joined with community physicians, to form Franciscan Northwest Physicians Health Network, dba Rainier Health Network, an Accountable Care Organization (ACO). Rainier Health Network was formed to ensure Medicare Fee-For-Service beneficiaries in the South Sound have access to high-quality, coordinated care, and was the first ACO in the South Puget Sound area and the second in the state. Since the passage of the Affordable Care Act, more than 250 ACOs have been established nationally. Please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227 (TTY users should call 1-877-486-2048)) for general questions or additional information about Accountable Care Organizations.

All ACOs must meet quality standards to ensure savings related to Medicare Fee-For-Service beneficiaries through improving care coordination and providing care that is appropriate, safe and timely. Rainier Health Network's goal is to provide improved coordinated care across physician offices and hospitals, improved health outcomes and fewer hospital visits for our Medicare Fee-For-Service beneficiaries. Beneficiaries using ACOs always have the freedom to choose doctors inside or outside of the ACO.

ACO Name and Location
Rainier Health Network
1149 Market Street
Tacoma, Washington, 98402

ACO Primary Contact
Mark Donaldson
markdonaldson@chifranciscan.org
253-428-8460

Types of ACO participants, or combinations of participants, that formed the ACO:
ACO professionals in a group practice arrangement
Partnership or joint venture arrangements between hospitals and ACO professionals
Hospital employing ACO professionals

ACO Participants

Facilities

Rainier Health Network Governing Body

Rainier Health Network Committees and Key Leadership Personnel
Chief Executive Officer: Mark Donaldson
Chief Medical Officer: Francis Mercado, MD.
AVP, Clinical Care: Sherry Aliotta

Rainier Health Network

Aggregate Amount of Shared Savings
Performance Year 1: $0
Performance Year 2: $0

How Shared Savings Are Distributed
Reinvest in infrastructure: N/A
Distribution to ACO Participants: N/A

Quality Performance Results

Measure Number

Measure Name

2013 Reporting Period

2014 Reporting Period

RHN Performance Rate

Mean performance rate for all ACOs

RHN Performance Rate

Mean performance rate for all ACOs

Patient/Caregiver Experience

ACO-1

Getting Timely Care, Appointments, and Information

79.20

81.48

76.99

80.56

ACO-2

How Well Your Doctors Communicate

89.97

92.96

89.85

92.67

ACO-3

Patients’ Rating of Doctor

89.52

92.06

88.83

91.89

ACO-4

Access to Specialists

83.07

85.12

81.98

84.08

ACO-5

Health Promotion and Education

53.05

58.38

54.81

58.21

ACO-6

Shared Decision Making

73.29

74.53

74.10

74.65

ACO-7

Health Status/Functional Status

72.16

71.12

70.76

71.31

Care Coordination/Patient Safety

ACO-8

Risk Standardized, All Condition Readmissions

14.16

14.90

14.12

15.11

ACO-9

ASC Admissions: COPD or Asthma in Older Adults

0.88

1.17

0.62

1.03

ACO-10

ASC Admission: HF

1.09

1.20

1.14

1.18

ACO-11

Percent of Primary Care Providers Who Successfully Attested for the EHR Incentive Program Incentive Payment

65.50

66.21

85.37

80.46

ACO-12

Medication Reconciliation

67.30

73.56

84.64

91.62

ACO-13

Falls: Screening for Fall Risk

18.49

39.57

26.51

44.63

Preventive Health

ACO-14

Influenza Immunization

47.78

56.93

54.58

58.16

ACO-15

Pneumococcal Vaccination

41.65

54.76

48.49

56.79

ACO-16

Adult Weight Screening and Follow-up

54.04

61.61

61.95

67.86

ACO-17

Tobacco Use Assessment and Cessation Intervention

89.80

84.01

93.77

91.24

ACO-18

Depression Screening

8.00

31.19

13.21

36.66

ACO-19

Colorectal Cancer Screening

45.58

59.30

40.58

57.72

ACO-20

Mammography Screening

52.25

62.05

51.21

62.98

ACO-21

Proportion of Adults who had blood pressure screened in past 2 years

87.68

74.25

62.88

58.97

At Risk Population

Diabetes Composite

Beneficiaries with diabetes who met of all the following criteria:

25.22

22.21

21.45

26.3

ACO-27

Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent)

18.69

22.11

17.57

17.83

ACO-28

Percent of beneficiaries with hypertension whose BP < 140/90

65.08

67.79

62.94

69.39

ACO-29

Percent of beneficiaries with IVD with complete lipid profile and LDL control < 100mg/dl

48.83

55.44

55.19

58.78

ACO-30

Percent of beneficiaries who use Aspirin or other antithrombotic

80.54

76.35

86.16

85.49

ACO-31

Beta-Blocker Therapy for LVSD

84.15

79.82

83.57

87.72

CAD Composite

Percent of beneficiaries with CAD who met all of the following criteria:

53.26

62.78

51.24

69.36